Infusion pump with independently controllable valves and low power operation and methods thereof

ABSTRACT

An infusion pump is provided, including a specially programmed microprocessor, a flow sensor for measuring flow from a source of fluid through an output tubing, a pumping section including a plurality of fingers in operational relationship to the output tubing, an outlet valve associated with the output tubing, and a first actuator configured for sequentially displacing the plurality of fingers to displace fluid through the output tubing. An inlet valve is disposed between the pumping section and the source of fluid; and a second actuator is also included. For detection, by the flow sensor, of flow above a predetermined level, the microprocessor is configured for one of: closing the outlet valve independently of the inlet valve using the first actuator; and closing the inlet valve independently of the outlet valve using the second actuator.

RELATED APPLICATION

The present application is a Continuation application of U.S. patentapplication Ser. No. 14/837,360 filed Aug. 27, 2015, which is also aContinuation application of U.S. patent application Ser. No. 13/196,136filed Aug. 2, 2011, now U.S. Pat. No. 9,144,644, which is incorporatedherein by reference.

BACKGROUND

The present disclosure relates to an infusion pump with an independentlycontrollable inlet valve. The present disclosure also relates to aninfusion pump with an inlet valve for controlling flow from a dripchamber. The present disclosure further relates to an infusion pumpswitchable between gravity-feed operation and active pumping operation.

FIG. 9 is a schematic representation of prior art peristaltic pump 10.Pump includes drip chamber 12 connected to source of fluid 14, tubing 16connected to the drip chamber, upstream valve 18 to block or allow fluidflow from the drip chamber to the tubing, and a plurality of fingers 20to create a moving zone of occlusion along the tubing and to push thefluid downstream past downstream valve 22. The downstream valve is usedto block or enable fluid output, for example, blocking fluid output whenthe upstream valve is opened. The upstream valve, fingers and downstreamvalves are typically engaged with cam lobes 24 on cam shaft 26 androtated by motor and associated gears 28. Different shapes for the camlobes determine the timing of opening and closing of the upstream anddownstream valves and peristaltic function of the fingers. In general apumping cycle for the pump is as follows: a first cam lobe operates theupstream valve to fully open the upstream valve to admit a volume offluid while a second cam lobe operates the outlet valve to close thedownstream valve; the first cam lobe operates to close the inlet valveand the second cam lobe operates to fully open the downstream valve; aset of cam lobes operates on the fingers such that the fingers expelfluid past the downstream valve; the second cam lobe operates on thedownstream valve to close the downstream valve; and, the precedingsequence is repeated.

A typical maximum volume for the tubing between the upstream anddownstream valves is 0.160 milliliter. Often the maximum volume isreduced due to the fingers partially compressing the tubing, forexample, the maximum volume is reduced to 0.080 milliliter. Since theupstream and downstream valves and fingers are all mounted on a singlecam shaft, it is not possible to control the amount of fluid enteringthe tubing independently from the movements of the fingers. The amountof fluid entering the tubing from the drip chamber is controlled by theopening and closing of the upstream valve, thus is not possible tocontrol the amount of fluid entering the chamber, independently from themovements of the fingers. That is, for each pump cycle, the upstreamvalve is fully opened and an amount of fluid equal to the maximum volumeflows to the tubing from the drip chamber. Therefore, the minimum amountof fluid entering the pumping chamber at each pumping cycle is 0.080milliliter in this case.

Certain infusion regimens require very low flow rates, for example, 0.1microliter/hour. Pump 10 has difficulty in maintaining flow continuityat such low flow rates.

Cam shaft 26 is supported proximate each end by respective bearings 30.The bearings hold the shaft in a position that is fixed except forrotation of the shaft. The fixed position is such that cam lobes 24 areable to operate fingers 14 and to open and close the upstream anddownstream valves. In general, the cam lobes are positioned such thatone of the upstream or downstream valves is closed at all times. Onepossible mode of failure for pump 10 is the failure of some or all ofbearings 30. For example, the bearings can fail such that the shaft isno longer held in the fixed position noted above and one or both of theends of the shaft are further from body. In this case, the cam lobes maybe far enough from the fingers and/or the upstream or downstream valvessuch that the cam lobes are no longer able to close the upstream and/ordownstream valves. Thus, for failure of some or all of the bearings,pump 10 is unable to control flow from the drip chamber. For example, inthe sequence noted above, when the upstream valve is opened it ispresumed that the downstream valve is closed. However, if the bearingfailure results in the cam shaft being unable to close the downstreamvalve, an uncontrolled flow from the drip chamber results when theupstream valve is opened. An uncontrolled flow condition can beextremely hazardous to a patient receiving an infusion via pump 10, forexample, resulting in a dangerously high dosage of a drug being infusedwith pump 10.

FIG. 10 is a schematic representation of a prior art gravity-feedinfusion arrangement. In some clinical applications, fluid delivery bygravity, as shown in FIG. 10, is acceptable. For delivery by gravity,gravity force is strong enough to cause fluid to flow from container 32hung on pole 34 through tubing 36 to the patient. However, the flow ratefrom container 32 cannot be automatically controlled and it is difficultto accurately control the flow rate. For example, roller clamp 38 isused to manually control the flow. The clamp is equipped with roller 40that may be rolled by hand to contract tubing 14 to compress the tubingto control the flow through the tubing from container 32. Such manualcontrol is not accurate and is very susceptible to human error.

SUMMARY

According to aspects illustrated herein, there is provided an infusionpump, including a specially programmed microprocessor, a flow sensor formeasuring flow from a source of fluid through an output tubing, apumping section including a plurality of fingers in operationalrelationship to the output tubing, an outlet valve associated with theoutput tubing, and a first actuator configured for sequentiallydisplacing the plurality of fingers to displace fluid through the outputtubing. An inlet valve is disposed between the pumping section and thesource of fluid; and a second actuator is also included. For detection,by the flow sensor, of flow above a predetermined level, themicroprocessor is configured for one of: closing the outlet valveindependently of the inlet valve using the first actuator; and closingthe inlet valve independently of the outlet valve using the secondactuator.

According to aspects illustrated herein, an infusion pump is provided,including a specially programmed microprocessor, an output tubing influid communication with a source of fluid, a flow sensor configured formeasuring flow, a pumping section including a plurality of fingers, anoutlet valve, a first actuator for controlling operation of theplurality of fingers and the outlet valve, and an inlet valve associatedwith the pumping section. A second actuator is configured for operatingthe inlet valve. Wherein: in a gravity-feed mode the microprocessor:controls the first actuator to maintain the plurality of fingers inrespective fixed positions and to at least partially open the outletvalve such that a passageway is formed in the output tubing past theoutlet valve; and, controls the second actuator, using data from theflow sensor including flow measured by the flow sensor, to operate theinlet valve to establish flow through the output tubing at a desiredflow rate; and, in an active pumping mode, the microprocessor: controlsthe second actuator to open and close the inlet valve; and, controls thefirst actuator to operate the plurality of fingers to displace fluidthrough the output tubing at the desired flow rate.

According to aspects illustrated herein, there is provided an infusionpump, including: a specially programmed microprocessor; a drip chamberfor connection to a source of fluid and to an output tubing; a flowsensor for measuring flow through the drip chamber from the source offluid; an inlet valve disposed after the drip chamber; and an actuatorfor operating the inlet valve. In a gravity-feed mode themicroprocessor: controls the actuator, using data from the flow sensorincluding flow measured by the flow sensor, to operate the inlet valveto establish flow from the drip chamber to the output tubing at adesired flow rate.

According to aspects illustrated herein, there is provided an infusionpump, including: a specially programmed microprocessor; a drip chamberfor connection to a source of fluid and to an output tubing; a flowsensor for measuring flow through the drip chamber from the source offluid; an element to force fluid out of the source of fluid; an inletvalve disposed after the drip chamber; and an actuator for operating theinlet valve. In a gravity-feed mode the microprocessor: controls theactuator, using data from the flow sensor including flow measured by theflow sensor, to operate the inlet valve to establish flow from the dripchamber to the output tubing at a desired flow rate.

According to aspects illustrated herein, there is provided a method forinfusing a fluid using an infusion pump including a specially programmedmicroprocessor; a drip chamber for connection to a source of fluid andto an output tubing; a pumping section including a plurality of fingersand a first actuator; an inlet valve disposed between the drip chamberand the pumping section; and a second actuator, controllable using themicroprocessor, including: controlling the first actuator, using themicroprocessor, to sequentially displace the plurality of finger tocompress a first portion of the output tubing to displace fluid from thedrip chamber through the output tubing; and controlling the secondactuator, using the microprocessor, to open or close the inlet valveindependent of the displacement of the plurality of fingers, or tooperate the inlet valve to control a rate of flow of fluid from the dripchamber to the first portion of the output tubing.

According to aspects illustrated herein, a method is provided forinfusing a fluid using an infusion pump including a specially programmedmicroprocessor, an output tubing in fluid communication with a source offluid, a flow sensor, a pumping section including a plurality offingers, an outlet valve, and a first actuator, an inlet valveassociated with the pumping section; and a second actuator, controllableusing the microprocessor. The method includes measuring flow using theflow sensor, sequentially displacing, using the specially programmedmicroprocessor and the first actuator, the plurality of fingers todisplace fluid through the output tubing and, for detection, by the flowsensor, of flow above a predetermined level: closing, using thespecially programmed microprocessor and the first actuator, the outletvalve independently of the inlet valve and, closing, using the speciallyprogrammed microprocessor and the second actuator, the inlet valveindependently of the outlet valve.

According to aspects illustrated herein, there is provided a method forinfusing a fluid using an infusion pump including a specially programmedmicroprocessor, an output tubing in fluid communication with a source offluid, a flow sensor, a pumping section including a plurality offingers, an outlet valve, and a first actuator for controlling operationof the plurality of fingers, an inlet valve disposed upstream of thepumping section, and a second actuator for operating the inlet valve.The method includes: measuring flow using the flow sensor, in agravity-feed mode: controlling, using the specially programmedmicroprocessor, the first actuator to maintain the plurality of fingersin respective fixed positions and to at least partially open the outletvalve such that a passageway is formed in the output tubing past theoutlet valve, and, controlling, using the specially programmedmicroprocessor and data from the flow sensor including flow measured bythe flow sensor, the second actuator to operate the inlet valve toestablish flow in the output tubing at a desired flow rate and, in anactive pumping mode: controlling, using the specially programmedmicroprocessor, the second actuator to open and close the inlet valveand, controlling, using the specially programmed microprocessor, thefirst actuator to operate the plurality of fingers to displace fluidthrough the output tubing at the desired flow rate.

According to aspects illustrated herein, there is provided an infusionpump, including: a specially programmed microprocessor; an output tubingin fluid communication with a source of fluid; a flow sensor configuredfor measuring flow; an inlet valve associated with the outlet tubing;and, an actuator configured for operating the inlet valve. In agravity-feed mode, the microprocessor is arranged to control theactuator, using data from the flow sensor including flow measured by theflow sensor, to operate the inlet valve to establish flow to the outputtubing at a desired flow rate.

According to aspects illustrated herein, there is provided an infusionpump, including a specially programmed microprocessor; an output tubingconnected to a source of fluid; a flow sensor for measuring flow fromthe source of fluid; an element for forcing fluid from the source offluid; an inlet valve associated with the outlet tubing; and, anactuator for operating the inlet valve. In a gravity-feed mode, themicroprocessor is arranged to control the actuator, using data from theflow sensor including flow measured by the flow sensor, to operate theinlet valve to establish flow to the outlet tubing at a desired flowrate.

According to aspects illustrated herein, there is provided a method forinfusing a fluid using an infusion pump including a specially programmedmicroprocessor; an outlet tubing connected to a source of fluid; a flowsensor for measuring flow; an inlet valve associated with the outlettubing; and an actuator for operating the inlet valve. The methodincludes accepting, using the microprocessor, data from the flow sensorincluding flow measured by the flow sensor; and, in a gravity-feed mode,controlling, using the microprocessor and the data, the actuator tooperate the inlet valve to establish flow to the output tubing at adesired flow rate.

According to aspects illustrated herein, there is provided a method forinfusing a fluid using an infusion pump including a specially programmedmicroprocessor; an outlet tubing connected to a source of fluid; a flowsensor for measuring flow from the source of fluid; an element forforcing fluid from the source of fluid; an inlet valve associated withthe outlet tubing; and an actuator for operating the inlet valve. Themethod includes: accepting, using the microprocessor, data from the flowsensor including flow measured by the flow sensor; and, in agravity-feed mode, controlling, the microprocessor and the data, theactuator, the flow sensor to operate the inlet valve to establish flowto the output tubing at a desired flow rate.

According to aspects illustrated herein, there is provided a method forinfusing a fluid using an infusion pump including a specially programmedmicroprocessor; a drip chamber for connection to a source of fluid andto an output tubing; a flow sensor for measuring flow; an inlet valvedisposed after the drip chamber; and an actuator for operating the inletvalve. The method includes: accepting, using the microprocessor, datafrom the flow sensor including flow measured by the flow sensor; and ina gravity-feed mode, controlling, using the microprocessor and the data,the actuator to operate the inlet valve to establish flow from the dripchamber to the output tubing at a desired flow rate.

According to aspects illustrated herein, there is provided a method forinfusing a fluid using an infusion pump including a specially programmedmicroprocessor; a drip chamber for connection to a source of fluid andto an output tubing; a flow sensor for measuring flow from the source offluid; an element for forcing fluid from the source of fluid; an inletvalve disposed after the drip chamber; and an actuator for operating theinlet valve. The method includes: accepting, using the microprocessor,data from the flow sensor including flow measured by the flow sensor;and in a gravity-feed mode, controlling, the microprocessor and thedata, the actuator, the flow sensor to operate the inlet valve toestablish flow from the drip chamber to the output tubing at a desiredflow rate.

BRIEF DESCRIPTION OF THE DRAWINGS

Various embodiments are disclosed, by way of example only, withreference to the accompanying schematic drawings in which correspondingreference symbols indicate corresponding parts, in which:

FIG. 1 is a schematic representation of an infusion pump withindependent control of inlet and outlet valves;

FIGS. 2A through 2G are schematic diagrams illustrating a pumping cyclefor the pump shown in FIG. 1;

FIG. 3 is a graph showing flow pulses for the pump shown in FIG. 1;

FIG. 4 is a table showing example flow pulses and fluid volumes at aflow rate of 0.1 microliter/hour;

FIG. 5 is a pictorial representation of a portion of the pump shown inFIG. 1 showing a cam shaft bearing;

FIG. 6 is a perspective view of an exemplary embodiment of an infusionpump with independent control of inlet and outlet valves and low poweroperation;

FIG. 7 is a detail of a portion of the pump shown in FIG. 6;

FIG. 8 is a schematic representation of an infusion pump for use ingravity-feed mode;

FIG. 9 is a schematic representation of a prior art peristaltic pump;and,

FIG. 10 is a schematic representation of a prior art gravity-feedinfusion arrangement.

DETAILED DESCRIPTION

At the outset, it should be appreciated that like drawing numbers ondifferent drawing views identify identical, or functionally similar,structural elements of the disclosure. It is to be understood that thedisclosure as claimed is not limited to the disclosed aspects.

Furthermore, it is understood that this disclosure is not limited to theparticular methodology, materials and modifications described and assuch may, of course, vary. It is also understood that the terminologyused herein is for the purpose of describing particular aspects only,and is not intended to limit the scope of the present disclosure.

Unless defined otherwise, all technical and scientific terms used hereinhave the same meaning as commonly understood to one of ordinary skill inthe art to which this disclosure belongs. It should be understood thatany methods, devices or materials similar or equivalent to thosedescribed herein can be used in the practice or testing of thedisclosure.

FIG. 1 is a schematic representation of infusion pump 100 withindependent control of inlet an outlet valves. Pump 100 includesspecially programmed microprocessor 102, drip chamber 104 for connectionto source 106 of fluid and to output tubing 108. The pump includes flowsensor, or flow meter, 110 for measuring flow through the drip chamber,and pumping section 112 including a plurality of fingers 114, outletvalve, or downstream valve, 116, and actuator 118. The pumping sectionis not limited to a particular number of fingers 114. Actuator 118 iscontrollable using the microprocessor, to rotate cam shaft 119 and camlobes 120 such that the cam lobes contact the plurality of fingers tosequentially displace the plurality of finger to compress portion 121 ofthe output tubing against a support structure, such as supporting platen122, to displace fluid from the drip chamber through the output tubingand past the outlet valve. Portion 121 also can be considered theportion of the tubing between the inlet and outlet valves. Shaft 119 andcam lobes 120 can displace the fingers in any manner known in the art.Rotation of shaft 119 and cam lobes 120 also controls opening andclosing of valve 116.

The pump also includes inlet valve, or upstream valve, 124 disposedbetween the drip chamber and the pumping section, and actuator 126,controllable using the microprocessor. Actuator 126 is arranged tooperate the inlet valve, for example, open or close the inlet valve, orposition the inlet valve between open and closed positions, independentof the displacement of the plurality of fingers; or to operate the inletvalve, for example, to position the inlet valve between an open orclosed position, to control a rate of flow of fluid from the dripchamber to the output tubing, as further described below.

FIGS. 2A through 2G are schematic diagrams illustrating a pumping cyclefor pump 100 shown in FIG. 1. The following should be viewed in light ofFIGS. 1 through 2G. Pump 100 enables execution of extremely lowcontinuous flow rates. For example, pump 100 is compliant with the ECRIInstitute's Excellent rating for flow continuity at low flow rates,which requires that a period of no flow in an infusion regimen to beless than 20 seconds. In an example embodiment, the specially programmedmicroprocessor is for implementing the following example infusionscheme, which can be a low flow rate regimen. As shown in FIG. 2A, atthe start of a pump cycle for the infusion regimen, the microprocessorcontrols actuator 126 to close the inlet valve and controls actuator 118to close the outlet valve and to move the fingers for maximumcompression of the tubing by the fingers. As shown in FIG. 2B, actuator118 retracts the fingers, while the valves remain closed, to create avacuum in portion 121 of the output tubing, that is, in the passagewayformed by portion 121.

As shown in FIG. 2C, the microprocessor controls actuator 126 todisplace the inlet valve to flow a specified volume of fluid, asmeasured by sensor 110, from the drip chamber to portion 121 of theoutput tubing. By specified volume, we mean a particular volume that isinputted to the microprocessor, stored in memory 128 of themicroprocessor, or calculated by the microprocessor. In general, thespecified volume is associated with a desired fluid flow to achieve thedesired outcome of the infusion scheme. Sensor 110 monitors flow throughthe drip chamber to portion 121 of the tubing. In an example embodiment,the inlet valve is continuously positionable between a fully closedposition and fully open position. For example, a position of the inletvalve is not limited to a series of stepped positions, which would bethe case if actuator 126 were a stepper motor. Such continuouspositioning greatly increases the accuracy and range of flow rates, fromthe drip chamber to portion 121, executable using the inlet valve.

As shown in FIG. 2D, after the specified volume of fluid has flowedthrough the drip chamber to portion 121 of the tubing, for example, asmeasured by sensor 110, the microprocessor controls actuator 126 toclose the inlet valve. As shown in FIG. 2E, the microprocessor thencontrols actuator 118 to operate the outlet valve, for example, fullyopening the outlet valve. As shown in FIG. 2F, the microprocessorcontrols actuator 118 to displace the plurality of fingers to expel thespecified volume of fluid past the outlet valve within a first specifiedtime period. By specified time period, we mean a particular time periodthat is inputted to the microprocessor, stored in memory by themicroprocessor, or calculated by the microprocessor. In general, thespecified time period is associated with a desired outcome of theinfusion scheme or required operation of the pump. For example, thespecified time period can be associated with the ECRI Institute'sExcellent rating for flow continuity at low flow rates. As is understoodin the art, a time period for infusing the specified volume is usuallyassociated with the specified volume, this time period can be the firstspecified time period noted above. At the end of the first specifiedtime period, as shown in FIG. 2G, the microprocessor controls actuator118 to close the outlet valve, completing the pumping cycle.

As noted below, the cycle described above is typically repeated at aparticular frequency to attain a desired flow rate over a longer timeperiod.

In an example embodiment, tubing 108 is compressed between the fingersand the supporting platen so that the tubing is partially compressed,reducing the maximum amount noted above, which in turn reduce the volumeof fluid entering portion 121 each time the inlet valve is opened. In anexample embodiment, tubing 108 has an inner diameter of about 0.1″length L for portion 122 of the tubing (between the inlet and outletvalves) is around 1.25.″ This configuration results in a maximum volumeof about 0.160 milliliter for portion 121. In the example that follows,the maximum volume is reduced to about 0.080 milliliter.

FIG. 3 is a graph showing example flow pulses for pump 100 shown in FIG.1.

FIG. 4 is a table showing example flow pulses and fluid volumes at aflow rate of 0.1 microliter/hour. The following should be viewed inlight of FIGS. 1 through 4. The unit of measurement for the x axis ofthe graph is second, and the unit of measure for the y axis ismicroliter of fluid from source 106. The ECRI's Excellent ranking forflow continuity at low flow rate requires that the period of no flow isless than 20 seconds. For example, the time period between FIGS. 2A and2F must be less than 20 seconds. The microprocessor controls actuator126 to displace the inlet valve to generate flow pulse 130, that is, toflow a specified volume of fluid from the drip chamber to portion 121 ofthe output tubing. Flow pulses 130A and B are shown in FIG. 3. As anexample, such pulses are generated in the portion of a pumping cycleshown in FIG. 2C. In FIG. 3, the pulses are sized and spaced toimplement a flow of 0.1 microliter/hr. It should be understood thatother flow pulses are possible, for example, as shown in FIG. 4.

As shown in FIGS. 3 and 4, a variety of pulses 128 can be generated toimplement the pumping cycle shown in FIGS. 2A through 2G. For example,pulse 130A is about two second long and the subsequent expelling offluid from portion 121 is done in about 18 seconds. As another example,pulse 130B is about 10 seconds long and the subsequent expelling offluid from portion 121 is done in about 10 seconds. Thus, to generate arate of 0.1 microliter/hr with pulses 130A, pump 100 delivers pulses130A (FIGS. 2F and 2G) about 164 times per hour, and each pulse deliversabout 0.61 microliter of fluid. To generate a rate of 0.1 microliter/hrwith pulses 130B, pump 100 delivers pulses 130B (FIGS. 2F and 2G) about120 times per hour, and each pulse delivers about 0.83 microliter offluid. It should be understood that combinations of different pulsewidths, for example, combinations of pulses shown in FIG. 4, can be usedduring an infusion regimen. Other combinations of number of pulses andflow pulses are also possible to achieve the desirable flow rate and ano-flow period of less than 20 seconds. For example, for flow rate of0.1 milliliter/hr or 100 microliter/hr, it is possible to have 10 flowpulses per hour, each of which has 10 microliter of fluid and deliveredinto the section 121 in less than 20 seconds. The fluid then can beexpelled in 5 minutes and 40 seconds.

To provide better flow continuity at low flow rates, the amount of fluidentering portion 121 of the tubing is made smaller than the total volumeavailable in portion 121. For example, when the total volume availableis 0.080 milliliter, the amount of fluid entering portion 121, forexample, pulses 130, is much less than the available volume, as shown inFIG. 4. Flowing such relatively small amount of fluid can only be doneif flow into portion 121 is controlled separately from the movement ofthe fingers in the pumping chamber, as described above and shown inFIGS. 2A through 2G. Shaft 119 revolves once during the pumping cycleshown in FIGS. 2A-2G. For example, to implement an infusion regimen of0.1 microliter/hour, shaft 119 revolves once about every 6 minutes.

Using pulses 130A and with a maximum volume available for portion 121equal to 0.80 milliliter, the amount of fluid entering portion 121 ineach pumping cycle is no more that 0.7 percent of the maximum volume forportion 121. Using pulses 130A and with a maximum volume available forportion 121 equal to 0.80 milliliter, the period of no flow for pulses128A is about 2 seconds or about 10 percent of the maximum no flowperiod of less than 20 seconds needed for compliance with the ECRI'sExcellent ranking for flow continuity at low flow rate. It should beunderstood that pump 100 is not limited to this ratio of fluid enteringportion 121 and maximum volume of portion 121, and that other ratios arepossible, for example, as shown in FIG. 4

In contrast, as noted supra, since for a typical prior art peristalticpump, valves and fingers are all mounted on a single cam shaft, it isnot possible to control the amount of fluid entering the chamberindependently from the movements of the fingers. Therefore, with areduced volume of 0.080 milliliter for the output tubing, to generate0.1 microliter/hr, the output tubing for the prior art pump has to bepumped out in one cycle over a period of 48 min with the attendantproblems noted above.

A pumping sequence for an infusion scheme, such as shown in FIGS. 2Athrough 2G, can be implemented in a periodic sequence, for example,repeating the pumping sequence shown in FIGS. 2A through 2G, to controlflow through the drip chamber. For example, a particular flow rate, suchas 0.1 microliter/hr, can be executed by repeating the pumping sequenceshown in FIGS. 2A through 2G.

Flow sensor 110 in conjunction with actuators 118 and 126 enableredundant shut-off of flow from the drip chamber, for example, in theevent of a high flow event. In one embodiment, threshold value 132 forflow detected by sensor 110 is stored in memory element 128. This valuecan be fixed or can be dependent upon the flow rate for a particularinfusion regimen being implemented by the pump, for example, value 132could be a percentage of the flow rate. The microprocessor uses value132 for determining if a high flow event is occurring and respondsaccordingly. For example, for detection, by the flow sensor, of flowabove a predetermined level, such as value 132, the microprocessor isfor using actuator 118 to close the outlet valve independently of theinlet valve and/or using actuator 126 to close the inlet valveindependently of the outlet valve. Thus, even if one or the other ofactuators 118 or 126 fails, flow from the drip chamber and portion 121can be blocked. Value 132 can be received by the microprocessor as inputor can be calculated by the microprocessor.

FIG. 5 is a pictorial representation of pump 100 shown in FIG. 1 showingcam shaft bearing 134. The following should be viewed in light of FIGS.1 and 5. Cam shaft 119 is supported proximate each end by respectivebearings, for example, bearing 134 at the downstream end of the shaft.The bearings hold the shaft in a position that is fixed except forrotation of the shaft. That is, the bearing fix the shaft while enablingrotation of the shaft, for example, to position cam lobes 120A and 120Bto operate outlet valve 116 and fingers 114, respectively.

As noted supra, one possible mode of failure for a pump with a cam shaftis the failure of the bearings for the cam shaft. For example, as shownin FIG. 5, if bearing 134 fails, end 136 can shift in direction D, awayfrom the main portion of the pump. One result of the shifting of end 136is that cam lobes 120 may be displaced far enough from the fingers andthe outlet valve such that the cam lobes are no longer able to close theoutlet valve or the fingers are no longer able to fully compress portion121 of the tubing. However, since valve 124 is controlled separatelyfrom cam shaft 119 via actuator 126, valve 124 can be actuated to blockthe tubing regardless of the status of the cam shaft. Thus, even thoughfailure of one or both of the bearings may render fingers 114 and valve116 unable to control or block flow through the tubing, independentlyactuated valve 124 is still able to provide flow blockage to prevent ahazardous uncontrolled flow condition.

Pump 100 also provides energy savings. In an example embodiment, pump100 is switchable between a gravity-feed mode and an active pumpingmode. For example, the default mode of operation is the gravity-feedmode and pump 100 operates in this mode unless inadequate flow isdetected as described below. The microprocessor operates actuator 118 tomaintain the plurality of fingers in respective fixed positions and toopen the outlet valve such that a passageway is formed in the outputtubing between the inlet and outlet valves. For example, the fingers aredisplaced so as to compress the tubing to a certain specified extent(partially closing the passageway through portion) or are displaced suchthat the passageway is fully open. The actual location of the fingersand the resultant volume for the passageway can be determined accordingto the infusion regimen being implemented by pump 100.

The microprocessor controls actuator 126, for example, using feedbackfrom the flow sensor, to operate the inlet valve to establish flow fromthe drip chamber to the output tubing at a desired flow rate. By desireflow rate, we mean a particular flow rate that is inputted to themicroprocessor, stored in memory 128 of the microprocessor, orcalculated by the microprocessor. In general, the desired flow rate isassociated with a desired outcome of the infusion scheme. As an example,for a particular drug being infused via the infusion scheme, aparticular flow rate is needed to attain a desired therapeutic effect.

In an example embodiment, as long as gravity force is sufficient toprovide the desire flow rate, the gravity-feed mode is used. Forexample, as long operation of the input valve is able to provide thedesired flow rate, the pump operates in the gravity-feed mode. Ifoperation in the gravity-feed mode is not able to provide the desiredflow rate, the pump automatically switches to the active pumping mode.For example, if the inlet valve is fully open and the flow sensormeasures flow less than a threshold related to the desired flow rate,for example, a specified percentage of the flow rate, the microprocessorswitches to the active pumping mode. In general, the active pumping modeincludes coordinated operation of the inlet and outlet valves and thefingers to introduce fluid into portion 121 and expel the fluid past theoutlet valve. The pumping cycle shown in FIGS. 2A through 2G is anexample, of operation in the active pumping mode. It should beunderstood that the active pumping mode is not limited to the pumpingcycle shown in FIGS. 2A through 2G.

FIG. 6 is a perspective view of an exemplary embodiment of infusion pump100 with independent control of inlet and outlet valves and low poweroperation.

FIG. 7 is a detail of a portion of pump 100 shown in FIG. 6. Thefollowing should be viewed in light of FIGS. 6 and 7. FIGS. 6 and 7depict an exemplary construction of at least portions of a pump withindependent control of inlet and outlet valves and other functionsdescribed supra. It should be understood that a pump with independentcontrol of inlet and outlet valves and other functions described suprais not limited to the configuration shown in FIGS. 6 and 7.

FIG. 8 is a schematic representation of infusion pump 200 for use ingravity-feed mode. Pump 200 includes specially programmed microprocessor102 and drip chamber 104 for connection to source 106 of fluid and tooutput tubing 108. In one embodiment, the source of fluid is amedication bag. In one embodiment, element 107 is used to force fluidfrom source 106, for example, to squeeze a medication bag, to forcefluid out of source 106 and to the drip chamber. For example, in theevent that gravitational force on the fluid in source 106 is notsufficient to overcome backpressure in tubing 108, for example, due to apatient to whom the tubing is connected, element 107 can be used toprovide the extra force needed to overcome the back pressure. Any deviceknown in the art can be used for element 107.

The pump includes flow sensor, or flow meter, 110 for measuring flowthrough the drip chamber, and inlet valve 124 disposed downstream of thedrip chamber. Actuator 126 is controllable using the microprocessor toregulate flow through tubing 108. Actuator 126 is arranged to operatethe inlet valve, for example, open or close the inlet valve, or positionthe inlet valve between open and closed positions, to control a rate offlow of fluid from the drip chamber to the output tubing. Thus, pump 200is configured to operate in gravity-feed mode, for example, pump 200does not include a pumping section, such as pumping section 112 for pump100 in FIG. 1, to actively transport fluid from source 106 throughtubing 108. In the gravity-feed mode, the flow can be via gravitationforce alone or can be via a combination of gravitation force and forceapplied by element 107.

In gravity-feed mode, the microprocessor is arranged to control theactuator, using data from the flow sensor including flow measured by theflow sensor, to operate the inlet valve to establish flow from the dripchamber to the output tubing at a desired flow rate. That is, themicroprocessor accepts data 202 from the flow sensor including flowmeasured by the flow sensor and controls, using the data, the actuatorto operate the inlet valve to establish flow from the drip chamberthrough the output tubing at a desired flow rate. The discussion forpump 100 regarding a desired flow rate is applicable to FIG. 8 and pump200. Pump 200 is arranged to occlude the tubing, via valve 124, inresponse to emergency or alarm conditions.

Although pumps 100 and 200 have been shown with a particularconfiguration of components, it should be understood that pumps 100 and200 are not limited to the particular configuration of components shownand that other configurations of components are possible.

It will be appreciated that various of the above-disclosed and otherfeatures and functions, or alternatives thereof, may be desirablycombined into many other different systems or applications. Variouspresently unforeseen or unanticipated alternatives, modifications,variations, or improvements therein may be subsequently made by thoseskilled in the art which are also intended to be encompassed by thefollowing claims.

What is claimed:
 1. An infusion pump, comprising: a flow sensor formeasuring flow from a source of fluid through an output tubing; aplurality of fingers each configured to be displaced and compress theoutput tubing against a support; an outlet valve associated with theoutput tubing and configured to move to a position between an openposition in which fluid flows passed the outlet valve and a closedposition in which fluid is precluded from flowing passed the outletvalve, wherein the fingers from the plurality of fingers are disposedbetween the outlet valve and the source of fluid; an inlet valvedisposed between the fingers from the plurality of fingers and thesource of fluid, the inlet valve configured to move to a positionbetween and open position in which fluid flows passed the inlet valveand a closed position in which fluid is precluded from flowing passedthe inlet valve; and a specially programmed microprocessor configured tocontrol the displacement of the fingers, the position of the outletvalve, and the position of the inlet valve, and wherein a flow of fluidthrough the output tubing is optionally controlled independent of thedisplacement of the fingers.
 2. The infusion pump of claim 1 furthercomprising: a shaft configured to rotate in order to displace thefingers.
 3. The infusion pump of claim 2, wherein the position of theoutlet valve is dependent on the rotation of the shaft.
 4. The infusionpump of claim 3, wherein the position of the inlet valve is independentof the rotation of the shaft.
 5. The infusion pump of claim 1, whereinthe position of the inlet valve and the position of the outlet valve arecontrolled independently of each other.
 6. The infusion pump of claim 1wherein the specially programmed microprocessor includes a memoryelement for storing a desired flow rate.
 7. The infusion pump of claim 6wherein the specially programmed microprocessor is configured to changean operation mode of the infusion pump from a gravity mode to an activepumping mode when a flow rate of the infusion pump is less than thedesired flow rate, wherein in the gravity mode the fingers are held in afixed position and the position of the inlet valve achieves the desiredflow rate.
 8. The infusion pump of claim 7 wherein the speciallyprogrammed microprocessor is configured to change an operation mode ofthe infusion pump from the active pumping mode to the gravity mode whenthe flow rate of the infusion pump is greater than the desired flowrate.